Individual
TINA M VALLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 838-4690
Mailing address
11623 ARBOR ST STE 200, OMAHA, NE 68144-2991
(402) 334-6014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT-2026-0109
NM
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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